Background
The bowel cancer is one of the most common forms of cancer that occurs when growth and the colon cells or the rectum cells occurs at an abnormal rate. According to the report of Richardson et al., (2016), the bowel can is the second highest cause of death among the population of the New Zealand. There are seven distrusts of reigns of New Zealand that has the record of highest number of bowel cancer patients. The district of South Canterbury has the highest records of bowel can patients with the total number of patients recoded to be of 113 per 100,000 people in the period of 2009 to 2013. There are approximately 3000 new cases of bowel cancer on average every year in all the regions of New Zealand and it is also the cause of 1200 deaths every year (Catchpole et al., 2015).
In the context of the given background, it is important for the health department of the government of New Zealand to establish policies that are aimed to improve the condition the health status of the population. The underlying objective was to develop and introduce a program that was effective, acceptable to all, safe, equitable and economically efficient. The main purpose of this report is to evaluate the policy of the Waitemata District Health Board to manage and reduce the occurrence of the bowel cancer and also aim to incorporate the policy related to the Bowel Screening Program (BSP). The strategy approaches, impact of the organization and also the staff management program is also discussed in this report with respect with respect of the Waitemata District Health Board. The staff management program along with the strategic direction of the health board is also decided with the help of the Waitemata District Health Board and the impact of the organization in the management of the bowel cancer among the population of the district.
In most of the cases, the bowel cancer can begin from the formation of the benign and the growth of innocent structure called polyps that grow on the walls of the bowel. The growth of these polyps is common among older people and most of these polyps not precancerous. However, one type of polyp which is called adenoma can be cancerous, if they are left undetected and can cause multiple forms of tumors. This tumor can grow in the wall if bowel. They can also travel in the bloodstream and may cause the spreading of cancer cells in other parts of the body. This is the cause of most of the deadly effects that are caused due to the cancer cells. These ploys are thus mainly responsible for the cause of the bowel cancer that can cause the growth of the tumorous cells in other parts of the digestive system.
According to Elwood et al., (2016), the increase age of the people are also one of the major cause of the bowel cancer as nearly 90% of the people of New Zealand suffering from bowel cancer are above the age of 50 years. The medical history of the family is also one of the major reasons for the cause of the bowel cancer. The lifestyle of the people is also regarded as one of the major cause of the cancer among the people.
Rational of the Report
The main purpose of the policy related to bowel cancer in Waitemata district of New Zealand is to ensure that total number of deaths according from this disease is lowered significantly. The framework of policy change is implemented in the overall process that helps in fundamental implication of health strategy. The main function of the bowel screening policy Eastern corporate the idea related to better diagnosis of Bowel cancer which will help in the early detection system and helps to cure the disease at a faster rate and also reduce the risk of death which is commonly associated with this disease (Wei et al., 2015).
The current policy related to the bowel caner management in the district of Waitemata, has failed to deliver with the effective health management plan and it is due to that fact, the total number of people in the region are not able to get proper treatment for the disease.
With the cost of the BSP going higher and also due to lack of awareness, people are not able to have advanced care of the in the medical care unit that is needed for the medical check-up of this disease. The population of the district also faced major issues while assessing the health service that is related to one of the most effective ways to deal with the complications of the diseases related to the bowel cancer. The district of Waitemata also lacks the facility that is related to the effective ways of dealing with the treatment of bowel cancer disease and the people also lacks the ability to have an effective ways of cancer treatment. There is also the risk that s related with the diagnosis of the disease as in most occasions people failed to properly diagnose the diseases.
Hence, in order to improve the health service facility of the Waitemata district and minimize the effects of bowel cancer with the help of effective the bowel cancer treatment policies is needed in the region to improve the quality of life of the local people. The name of the new policy that is implemented by the Health District Board of Waitemata is called the Pilot Bowel Screening Program that has aimed to deal with the adverse conditions of the bowel cancer among the people.
The Waitemata district health Board of New Zealand is considered to be one of the reputed Health Organisation of the country which has been able to deliver quality health service and resolve major health issues related to what condition of the population. According to Mittal et al., (2014), within the last 5 years the per capita age of Waitemata district has been raised to 3 years due to the high quality health service that are provided by the health authority.
Connor et al., (2016), believe that proper resource management of the district health board has been one of the major causes of the success in recent past. Managing the health resource that are available in the modern days is one of the challenging activities as in most occasions all the people are not able to get the benefit of the latest medical treatment techniques. With proper management of health resources it is also possible for the district board to ensure that all class and section of the society in the district and other remote areas are able to get proper service related to bowel cancer.
Policy Change
As bowel cancer has been one of the major causes of death in the recent years in the Waitemata district, the health board authority has to implement the bowel screening programme in order to properly evaluate and diagnose the disease. With the latest policies it is possible for the district health board to ensure that high quality health service related to bowel cancer treatment are provided to all section of the society and better quality of health service can be availed event for economically weaker section of the society (Ahmadi et al., 2015).
The staff members of the district health board also have a major role in the effectiveness of the policy that is being implemented related to bowel cancer treatment. The health care workers and general physicians play the most vital important part in providing health service related to bowel cancer. The district health board has used effective recruitment techniques to ensure that only skilled and efficient workers with good communication are assigned in the role of bowel cancer management program along with the bowel screening policies.
The policies and procedures that are implemented by the health district board also have effectively reduced the total number of people suffering from bowel cancer in the local region. In the recent times it is seen that 90% of the people suffering from bowel cancer has been able to get treatment in the primary stage which help them to get cure properly (Seneviratne et al., 2015). Proper interaction with the clients of district health board along with providing quality health service related to bowel cancer has been one of the major impacts of the health organisation which has a been able to deal with most of the bowel cancer patient in the recent past years. There is also stick policy within the Healthcare organisation to ensure that proper timely awareness campaign is being done in regular intervals in order to ensure that most of the people get properly informed about the symptoms and causes of the disease and thereby able to prevent the cause of the disease by changing the lifestyle and other activities which can had them to deal with the cause of tumour cells growth within the digestive system.
The Waitemata has district brought has taken several initiatives in order to ensure that the policy related to bowel cancer has maximum utilisation and is able to minimise the risk and total deaths involved with the bowel cancer. The response that has been shown by the Waitemata district health board has resulted in proper implementation of the policies related to health care in bowel cancer.
This is the primary response that is initiated by the Waitemata district health board which has helped them to work in coordination with the latest health policy is to employ skilled workers and physicians who have the capacity to deal with all the challenges related to bowel cancer and also reduce the screening quality and diagnosis. The experience of the health workers is one of the major impacts of the policy which has helped them to deal with early detection system of bowel cancer and also ensure that the treatment which is being provided individual patient is done after proper evaluation and assessment of their present clinical conditions Martini et al., (2014). It has been seen in the past that most of the Healthcare workers are not able to deal with early detection system of the cancer and hence most of the patients reached a critical stage where chance of recovery is minimum.
Cause of Bowel Cancer
The advanced training program is also one of the major organisational responses of Waitemata district health board which has helped to improve upon the treatment skills of Healthcare workers and also help them to identify the early detection sign of bowel cancer. Advanced training program has also been able to give valuable advice to the Healthcare workers about the policies and its impact on the population of New Zealand. It is also very common for the terminally ill bowel cancer patient to face high level of critical situations (Signal et al., 2015). That was training program has also helped the Healthcare workers to get vital knowledge and idea about the proceedings that are needed during the time of crisis and also to ensure that quick and effective health service during the time of emergency can be given to the patient.
With the improvement in the Healthcare technology in the recent past years it is possible to detect the early symptoms related to bowel cancer and also properly distinguish the similar symptoms that are associated with this form of Cancer with other digestive diseases (Robson & Ellison?Loschmann, 2016). The latest health policy related to the bowel cancer has enabled the local people to make most use of the health care technology that is to cure this form of disease. The technology in the health care system has also enabled the people to deal with the consequence related to poor management.
The technology has also enabled the people to deal with the advanced medical care unit and also provide the information related to the bowel cancer disease. The information related to the latest forms of cancer treatment and all the statistical data related to the disease in the areas under the Waitemata district health board can also be stored with the help of the information technology. These vital information can be used as part of the reference during the time of future, which is the effective way to manage the cause of the disease in the future.
The major impacts of the bowel caner policy of the Waitemata district health board are to have long-term effects relevant to the treatment of the bowel cancer treatment that is being provided in the future.
The operational duty of the district health board has been able to proper evaluate the performance of individual workers depending upon their everyday activities and the quality of service that is provided. Hence, it is possible to improve upon the working efficiencies of the healthcare workers.
The health ministry of the New Zealand government has estimated that each year $511 million is spent in the treatment and managing the disease of the colon cancer. Nearly 14% of the cost is estimated to be cost in the treatment of the colon rectum and it is also the cause of the high level of treatment service that is being provided to the people. The cost of the bowel cancer treatment is likely to evaluate significantly in the coming years as more number of people will suffer from this disease. The incorporated incidence estimates from 2011 to 2021 show a 23% increase in the full price of cancer from $627 million by 2021. The estimates present that the price of cancer per capita grows viciously and may even be higher if fresher and more expensive therapies are to be funded (Jackson et al., 2014).
Impacts on the Organization
The polices that are adopted by the Waitemata district health board has helped to improve the quality of cancer treatment without increasing the cost of the medical service.
As mentioned above, in terms of new policy the “Pilot BSP” or the Binary space portioning would be pursued in the organization as it has been proved that BSP helps in diagnosing the bowel polyps at an early stage. It has been found that in the concerned health care organization, there is lack of adequate technologies and arrangement, which are required for pursuing a fruitful BSP. Moreover, the number of experienced BSP specialties is disappointing. Therefore, understandably there is the need for formulating strategic plans to accomplish the anticipated result of the chosen policy. The following strategies would be required at the first place –
The first strategy, which will be immediately required is to recruit new professionals, who working experience in conducting and thereafter evaluating the result. In order to recruit adequately experienced and efficient professionals, the human resource department of the concerned organization is required to show their efficiency (Watson, 2013). The HR executives should consider hiring experienced individuals who have more than 5 years of experience in the considered field rather than hiring fresh ones.
Necessity and thereafter implementation of the aforementioned strategy is not indicative of the fact that the existing medical professionals should be terminated (Hill et al., 2014). Along with recruiting experienced professionals, the existing professionals of the organization should be given proper training. It would be more effective if the hired professionals with more than 5 years of experience would be engaged in giving training and grooming the existing professionals. It would help the organization in acquiring a well-managed and integrated medical department of bowel cancer.
It is required to be mentioned here that, in order to conduct fruitful BSP test, every health care organization requires an appropriate kit of bowel cancer screening. According to the policy, the organization now have to pursue FOBT (High-sensitivity fecal occult blood tests), stool DNA tests, sigmoidoscopy, virtual colonoscopy and standard or optical colonoscopy. Therefore, immediately the organization should evaluate the condition of the existing machines and tools for accomplishing the aforementioned methods. Therefore, based on the evaluation, the organizational authority should invest money after discussing it with the shareholding team.
The proposed strategies above are indicative of the fact that a strong resistance may come from the employees’ side. Therefore, considering the need to stop resistance from the employees’ side, it would be appropriate to organize face-to-face meeting with the existing professionals and encourage them to share their individual views regarding the concern (Goetsch & Davis, 2014). In this context, it can be said that in order to stop resistance as well as to sustain the enthusiasm of the existing professionals, the authority of the organization should consider providing incentives or other facilities. In this case, the authority should keep in mind the fact that incentives should use for engaging the existing professionals into the training.
The above mentioned strategies are indicative of the fact that there is the need for employee training and recruitment of experienced professionals. Understandably, resistance from the existing employees will come. At the same time, it is also a possibility that the strategy of recruiting more experienced professionals would demotivate the current professionals, which would directly harm on their performance quality. Therefore, along with implementing the considered policy, a convenient staff performance management plan would be also required. The following can be anticipated as most possible impact of the policy on the employees –
- They would adopt it and give their consent to the organization for proceeding with the policies and aforementioned strategies or
- The employees would resist and would decrease the level of their performance quality (Mukerjee, 2013).
However, it should be kept in mind at the same time that, if the policy and strategies will be implemented, the employees’ will acquire the ability as well as experience in making early detection to bowel cancer and therefore can possibly prevent the harmful consequence of it. Therefore in order to manage their quality as well as their resistance, the following steps would be essential –
- Organize meeting with the employees
- Discuss the agenda behind adopting the considered policy (Melnyk et al., 2014)
- Ensure that each of them have understood the significance of the policy
- Individual feedback should be taken
In order to ensure that the existing employees have understood the significance of the policy as well as to ensure that they are doing their jobs correctly, it will be appropriate if the authorities will formulate a separate team. The sole responsibility of that group will be organize individual responsibilities of the employees and thereafter monitor their progress in training as well as their performance in time of BSP testing. The particular group will be also responsible for evaluating the observed performances and thereafter preparing a report regarding that to the higher authority. As mentioned above, feedback from the existing professionals will be essential for accomplishing the policy. Therefore, there would be the need to create a particular medium or form another group who will responsibly collect feedback from the professionals regarding their experience in the training (Matthews, 2015). In this case, the authority can consider implementing the techniques of feedback loop. If the organization will consider implementing the feedback loop, then both of the aforementioned groups will be responsible in planning and organizing procedures, which would help the professionals in adjusting themselves to the changing circumstances (Hubbard et al., 2014).
Most significantly, in order to maintain as well as to increase the performance quality of the employees, the authority should use the method of incentive (Barrick et al., 2015). For that, the organization should first set a particular standard of performance expected from the existing professionals. Thereafter, it should be communicated to each of the professionals and the authority should make it clear to the professional that they will be provided with the incentives only when they will accomplish the set standard. It can be anticipate that the method of giving reward in terms of incentive will compel the professionals in giving their best effort for the accomplishment of the policy.
Conclusion
As a part of the organizational policy the Waitemata district health board the strategies that are implemented in order to deal with the adverse consequence of the bowel cancer has helped to ensure that the quality of the life of the local people can be improved significantly. The importance of the healthcare policy has been able to improve due to the fact that the total number of patients suffering from this disease has increased rapidly in the recent past years and most of the aged people are the min victim of this disease.
The main aim of the Bowel Screening Program is to improve upon the techniques of early diagnosis of the disease as it has been seen in the past that the with early and proper diagnosis treatment techniques, it is possible to deal with all the adverse condition of the disease. With the help of the staff management practice, it is possible to deal with all the issues related to lack of skills among the workers. It is the duty of the district healthcare board to motivate the workers, which will help them to motivate and thereby improve upon their performance. The proper methods of strategy implementation of the district health board have enabled them to deal with the issues lack of healthcare workers and also upon their skills.
Following are the recommendations that can be useful for the Waitemata district health board:
- Initiate the program of awareness among the local people, which will help to provide necessary information about the bowel cancer and also suggest the people about the changed lifestyle that needs to be implemented.
- Increase the efficiency of the Bowel Screening Program by implementation of the proper diagnostic tools of cancer.
- Increase the total number of healthcare workers in the department of oncology and also provide regular trainings about the use of the latest treatment techniques that is needed.
- Collect statistical data from the district, which will help in the process of policy implementation process.
Reference
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